Deep hypothermic circulatory arrest in neonates and small infants of cardiac surgery.docVIP

 PAGE \* MERGEFORMAT 13 Deep hypothermic circulatory arrest in neonates and small infants of cardiac surgery [Abstract] Objective To study the deep hypothermic circulatory arrest (DHCA) in newborns and small infants with complex congenital heart disease (CHD) correction surgery in the brain protective effect and to the other systems. Method from January 2006 to December 2007 44 cases of children with complex CHD implemented in the DHCA correction of cardiac malformation surgery, age 8 ~ 150 (67.54 ± 46.65) days, weight 1.13 ~ 5 (3.87 ± 1.17) kg. Stop the cycle to maintain nasopharyngeal temperature 18 ℃ ~ 20 ℃ , rectal temperature 18 ℃ ~ 21 ℃ , DHCA time of 5 ~ 60 (30.5 ± 12.2) min. Results The 4 patients died, four cases of early postoperative mortality, overall mortality 18.2%; 2 cases (4.5%) died due to neurological complications, the remaining cases have found no neurological complications; postoperative recovery time of 1 ~ 12 ( 7.7 ± 6.5) h, mechanical ventilation time 9 ~ 123 (61.1 ± 9.3) h, ICU time, 41 ~ 260 (83.5 ± 36.4) h, the number of hospitalization days 13 ~ 66 (27.3 ± 12.6) days; after 10 cases of peritoneal dialysis (22.7%), renal function was normal at discharge review; surgery three days before the drainage 25.9 ~ 85.7 (58.9 ± 24.4) ml / kg, perioperative red blood cell volume 0 ~ 1.2 (0.64 ± 0.40) U / kg. Conclusions In neonates and small infants in complex cardiac surgery, deep hypothermic circulatory arrest remains an effective and practical measures for cerebral protection. With the advances in surgical and cardiopulmonary bypass, postoperative mortality and complications will be further reduced. [Keywords:] newborn with congenital heart disease deep hypothermic circulatory arrest Abstract: OBJECTIVE To investigate the neuro-pretective effect of deep hypothermic circulatory arrest (DHCA) and its impact on other major organs during the open heart surgery for neonates and small infants.METHODS From January 2006 to December 200